MAGI Based Eligibility Groups.

Approved Eligibility Standards for State Mandatory and Optional Eligibility Groups.

Establishes reimbursement for Medicaid day-one-incentive (MDOI) payments to non-public nursing facilities.

Incorporates the MAGI based eligibility process requirements, including the single streamlined application, into Wyoming state plan in accordance with the Affordable Care Act.

Incorporates the MAGI-Based Residency Requirements.

Describes Non-Financial Eligibility On State Residency that will apply to all Modified Adjusted Gross Income MAGI-Based Eligibility Criteria.

Increases the payment rate for specific drugs, categories of drugs and certain pharmacies andwould reverse in certain circumstances the ten percent payment reduction that was approved through SPA 11-009.

Physical therapy and related services coverage and limitationsPreventive services coverage limitations and payment for services.

Provides Medi Cal providers that are qualifying 340B eligible covered entities and purchase drugs through the 340B drug pricing program to bill an amount not to exceed the entity's actual acquisition cost for the drug plus a professional fee for dispensing of 7dollars and twenty cents.

Amending Outpatiet Hospital Reimbursement Payment Methodology.